Joel Zivot

Last rights: assisted suicide is neither painless nor dignified

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issue 18 September 2021

Is euthanasia painless? The founder of the British pro-euthanasia movement (and sometime eugenicist) Dr Killick Millard declared in 1931 that his aim was ‘to substitute for the slow and painful death a quick and painless one’. His sentiment is echoed today by the pro-euthanasia group My Death, My Decision, which says that it wants the ‘option of a peaceful, painless, and dignified death’. The British Medical Association appears to agree and this week dropped its opposition to the Assisted Dying Bill, currently making its way through parliament.

As a doctor and expert witness against the use of lethal injection for execution in America, however, I am quite certain that assisted suicide is not painless or peaceful or dignified. In fact, in the majority of cases, it is a very painful death.

The death penalty is not the same as assisted dying, of course. Executions are meant to be punishment; euthanasia is about relief from suffering. Yet for both euthanasia and executions, paralytic drugs are used. These drugs, given in high enough doses, mean that a patient cannot move a muscle, cannot express any outward or visible sign of pain. But that doesn’t mean that he or she is free from suffering.

‘Do you have confidence booster jabs?’

In 2014, I watched the lethal injection of Marcus Wellons in a Georgia prison. The 59-year-old had been sentenced to death for the rape and murder of his 15-year-old neighbour India Roberts in 1989. ‘I’m going home to be with Jesus’ were his final words as the drugs entered his body.

I noticed that Wellons’s fingers were taped to the stretcher, which made little sense, given his body had already been restrained by heavy straps. I kept asking myself why. I read into the subject and came across a report of the lethal injection execution of another death row inmate, Dennis McGuire, five months earlier.

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Written by
Joel Zivot
Dr Joel Zivot is an associate professor of anaesthesiology and surgery at the Emory School of Medicine in Atlanta, Georgia.

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